95911 (2) 1040 Colon' Hi11s
Building Permit Confirm
Not Required ❑-
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT'
Date---------------Y.. ..3------------------- 19-0 Permit No.�:>:^;F
The undersigned here m e a 'ca 'on f the IerttricaI I ctor of the City of San Jose
for a permit to install dr' 1 u} d irin 0s fe a reverse side.
Exemption from re m i to n1 o ctors License is hereby claimed
by undersigned: owner ❑ statement filed ❑
Undersigned d efts that his o r of�California Centra License
is in full force and effect and pro er oriaes }h• n
San Jose City Business License
I certify that in the performance of the work for which this permit Is iss,Aof shall not employ
any person in any manner so as to violate the kmen's compensation laws of California.
OWNER A�N �'�fir
L ADDRESSO e
/
USE OF BUILDING
FIRM A 45 SIGNED
aeo-ro 0
1040 Colony Hillb Anthony
ITEMIZE THE FOLLOWINGS Old
Outlets
d
Outlets TPanels, Cabinets Size Service Conduit
Switches Switchboards Size Service Wires
Receptacles. Panelboards - Size Service Switch _
Fixtures --Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers KW Size Sub Feed Wires'
Ranges KW Heaters KW Number of Circuits _
Signs Tansformers �Motorz Number of .Meters _
/kx
HP � ?Phase %mpere Loads! Lighting Power
Miscellaneous J
do
Rough Inspection By
Final Inspection / B „
Remarks: y //e `